Icco LLC

Medical Physician Assistant · Eugene, OR

Organization Active NPI

NPI number 1700251154

Practice location

1292 High Street
Suite 224
Eugene, OR 97401
Phone
(541) 345-8760
Fax
(541) 345-8763

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NPI record

NPI
1700251154
Entity type
Organization (Type 2)
Enumeration date
December 10, 2015
Last updated
December 10, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Medical Physician Assistant Primary 363AM0700X PA175527 OR

Mailing address

1292 High St
Suite 224
Eugene, OR 97401-3238
Phone
(541) 345-2860
Fax
(541) 345-8763

Authorized official

Name
Susan Lavern Hunsucker
Title
Director of Operations
Phone
(541) 521-7222

Other names

  • Eugene Urgent Care

About Icco LLC

Icco LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Medical Physician Assistant (code 363AM0700X). The practice location is 1292 High Street, Suite 224, Eugene, OR 97401. The NPI number 1700251154 was assigned on December 10, 2015 and the record was last updated on December 10, 2015.

Icco LLC lists a license in the registry: #PA175527 (OR) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Susan Lavern Hunsucker, Director of Operations.

Frequently asked questions

What is the NPI number of Icco LLC?

The NPI number is 1700251154.

What is the phone number of Icco LLC?

The phone number listed for the practice location is (541) 345-8760.

Where is Icco LLC located?

1292 High Street, Suite 224, Eugene, OR 97401.

What is the taxonomy code for Icco LLC?

The primary taxonomy code is 363AM0700X – Medical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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